REPUBLIC OF THE PHILIPPINES)

x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x)

AFFIDAVIT OF NO EMPLOYEES

I, MA. SHIRLEY E. BAUTISTA, Filipino, married, of legal age duly sworn in

accordance with the law depose and sayeth;

1. That I am a sole proprietor

2. That I do not employ any other person

3. That I do not intend to hire any employees to perform store task, I

certify that the Store is operated by the family members only

4. This affidavit was executed to inform particularly the Home

Development Mutual Fund (PAG-IBIG)

Hereunder is my affixed signature signed on _____ day of ___________

2019, City of Manila, Philippines.

MA. SHIRLEY E. BAUTISTA

Affiant

Subscribed & Sworn to me before this _____ day of __________ 2019 her
Residence Certificate Number _______________ issued at City of Manila.

Doc No.________
Page No.________
Book No.________
Series until Dec. 31, 2019